Abstract:Objective: To identify the relationship between Helicobacter pylori (Hp)infection and serum SERPIN E1 protein level in adults and offer a theoretical basis for investigating the mechanisms by which Hp induces gastric cancer. Methods: A total of 417 subjects were allocated to the Hp-negative group(n=192) or the Hp-positive group(n=225). All participants had fully detailed records of biochemical data and results of serum SERPIN E1 testing. Results: Serum SERPIN E1 level was significantly different (P<0.01) between the Hp-negative group and Hp-positive group: 5.38(4.56~6.18)(ng/ml))versus 8.20(6.91~9.34) (ng/ml). All the participants were divided into 4 groups by quartile values of serum SERPIN E1 and a linear correlation between the prevalence of Hp infection and quartiles of serum SERPIN E1 levels was observed(P<0.001). Based on the receiver operating characteristic curve (ROC) for predicting Hp infection in participants, the serum level of SERPIN E1 with optimal sensitivity (84.4%) and specificity (83.3%) was about 6.49ng/ml and the area under the ROC curve was 0.906. Conclusion: Serum level of SERPINE1 is closely associated with Hp infection in adults. SERPIN E1 may play an important role in the pathogenesis of Hp-induced gastric cancer.
姚勇, 奉镭, 雷洪军, 张描, 高明生. 血浆丝氨酸蛋白酶抑制剂E1蛋白水平与幽门螺杆菌感染的关系研究[J]. 河北医学, 2022, 28(9): 1494-1497.
YAO Yong, FENG Lei, LEI Hongjun, et al. Identification of Relationship between Helicobacter Pylori Infection and Serum SERPIN E1 Protein Level in Adults. HeBei Med, 2022, 28(9): 1494-1497.
[1] Bray F,Ferlay J,Soerjomataram I,et al.Global cancer statistics 2018:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J].CACancer Clin,2018,68(6):394-424. [2] Li WQ,Zhang JY,Ma JL,et al.Effects of helicobacter pylori treatment and vitamin and garlic supplementation on gastric cancer incidence and mortality:follow-up of a randomized intervention trials[J].BMJ,2019,9(11):366-376. [3] Amieva M,Peek RM Jr.Pathobiology of helicobacter pylori-induced gastric cancer[J].Gastroenterology,2016,150(1):64-78. [4] Huang RJ,Choi AY,Truong CD,et al.Diagnosis and management of gastric intestinal metaplasia:current status and future directions[J].Gut Liver,2019,13(6):596-603. [5] Yang JD,Ma L,Zhu Z,et al.SERPINE1 as a cancer-promoting gene in gastric adenocarcinoma:facilitates tumour cell proliferation,migration,and invasion by regulating EMT[J].J Chemother,2019,31(7-8):408-418. [6] Liao P,Li W,Liu R,et al.Genome-scale analysis identifies SERPINE1 and SPARC as diagnostic and prognostic biomarkers in gastric cancer[J].Onco Targets Ther,2018,15(11):6969-6980. [7] Calandrelli R,Xu L,Luo Y,et al.Stress-induced RNA-chromatin interactions promote endothelial dysfunction[J].Nat Commun,2020,11(1):5211. [8] Lim MCC,Maubach G,Sokolova O,et al.Pathogen-induced ubiquitin-editing enzyme A20 bifunctionally shuts off NF-κB and caspase-8-dependent apoptotic cell death[J].Cell Death Differ,2017,24(9):1621-1631. [9] Suki M,Leibovici Weissman Y,Boltin D,et al.Helicobacter pylori infection is positively associated with an increased BMI,irrespective of socioeconomic status and other confounders:a cohort study[J].Eur Gastroenterol Hepatol,2018,30(2):143-148. [10] Guo Y,Zhang Y,Gerhard M,et al.Effect of Helicobacter pylori on gastrointestinal microbiota:a population-based study in Linqu,a high-risk area of gastric cancer[J].Gut,2020,69(9):1598-1607. [11] Abdel-Razik A,Mousa N,Shabana W,et al.Helicobacter pylori and non-alcoholic fatty liver disease:a new enigma[J]Helicobacter,2018,23(6):12527-12537.